Individual
JARVIS ESPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7109 67TH PL APT 1L, GLENDALE, NY 11385-7029
(646) 708-3365
Mailing address
7109 67TH PL APT 1L, GLENDALE, NY 11385-7029
(646) 708-3365
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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